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General NPI Number Information
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NPI Number | 1568949253
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Entity Type | Individual
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Provider Name | CYBIL GEISS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 121 E 6TH ST
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City | TUSCUMBIA
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State | AL
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Zip | 35674-2413
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Country | US
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Telephone | 256-712-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 2156 SKY PARK RD
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City | FLORENCE
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State | AL
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Zip | 35634-2420
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6563
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License Number State | AL
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